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Assessing the efficiency of mother-to-child HIV prevention in low- and middle-income countries using data envelopment analysis

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  • Sérgio Santos

    ()

  • Carla Amado
  • Mauro Santos

Abstract

AIDS is one of the most significant health care problems worldwide. Due to the difficulty and costs involved in treating HIV, preventing infection is of paramount importance in controlling the AIDS epidemic. The main purpose of this paper is to explore the potential of using Data Envelopment Analysis (DEA) to establish international comparisons on the efficiency of implementation of HIV prevention programmes. To do this we use data from 52 low- and middle-income countries regarding the prevention of mother-to-child transmission of HIV. Our results indicate that there is a remarkable variation in the efficiency of prevention services across nations, suggesting that a better use of resources could lead to more and improved services, and ultimately, prevent the infection of thousands of children. These results also demonstrate the potential strategic role of DEA for the efficient and effective planning of scarce resources to fight the epidemic. Copyright Springer Science+Business Media, LLC 2012

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Bibliographic Info

Article provided by Springer in its journal Health Care Management Science.

Volume (Year): 15 (2012)
Issue (Month): 3 (September)
Pages: 206-222

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Handle: RePEc:kap:hcarem:v:15:y:2012:i:3:p:206-222

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Web page: http://www.springerlink.com/link.asp?id=101767

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Keywords: HIV prevention; DEA; Mother-to-Child HIV transmission;

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  1. B. Hollingsworth & P. Smith, 2003. "Use of ratios in data envelopment analysis," Applied Economics Letters, Taylor & Francis Journals, vol. 10(11), pages 733-735.
  2. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128.
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  5. Zanakis, Stelios H. & Alvarez, Cecilia & Li, Vivian, 2007. "Socio-economic determinants of HIV/AIDS pandemic and nations efficiencies," European Journal of Operational Research, Elsevier, vol. 176(3), pages 1811-1838, February.
  6. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
  7. Royston, Geoff, 1998. "Shifting the balance of health care into the 21st century," European Journal of Operational Research, Elsevier, vol. 105(2), pages 267-276, March.
  8. Bruce Hollingsworth & P.J. Dawson & N. Maniadakis, 1999. "Efficiency measurement of health care: a review of non‐parametric methods and applications," Health Care Management Science, Springer, vol. 2(3), pages 161-172, July.
  9. James Langabeer & Yasar Ozcan, 2009. "The economics of cancer care: longitudinal changes in provider efficiency," Health Care Management Science, Springer, vol. 12(2), pages 192-200, June.
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